Marchetti Claudia, Manci Natalina, Pernice Milena, Di Tucci Chiara, Carraro Carlo, Burratti Moira, Giorgini Margherita, Benedetti Panici Pierluigi
Department of Obstetrics and Gynecology, 'Sapienza' University of Rome, Rome, Italy.
Case Rep Oncol. 2010 Jun 8;3(2):176-181. doi: 10.1159/000313341.
Microinvasive squamous cell cervival carcinoma is characterized by an exceptional incidence of lymph nodal metastasis. We report the case of a 45-year-old woman affected by IA1 squamous cell carcinoma, found to have massive pelvic lymph nodal metastasis. After a systematic pelvic and aortic selective lymphadenectomy, at 16 months of follow-up, she is still disease-free. Patients suitable for conservative therapy should be carefully counselled about the established risks and benefits of nondestructive treatment options.
微浸润性宫颈鳞状细胞癌的特点是淋巴结转移发生率异常高。我们报告了一例45岁患有IA1期鳞状细胞癌的女性病例，发现其有大量盆腔淋巴结转移。在进行系统性盆腔和主动脉旁选择性淋巴结清扫术后，随访16个月，她仍无疾病复发。对于适合保守治疗的患者，应就非破坏性治疗方案既有的风险和益处给予仔细的咨询。
